Carr, Ashley L

Carr, Ashley L is an sole proprietor health care provider with primary practice located at 1695 Jefferson St , Eugene OR 97402-4063. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Carr, Ashley L can be contacted via phone (541) 264-5449.

Contact Information

Primary practice address
1695 Jefferson St Eugene OR 97402-4063
Phone: (541) 264-5449
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X R7896 Oregon
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1215445556
LBN Legal business name Carr, Ashley L
Credentials MA, QMHP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 22nd, 2018
Last updated Nov 21st, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215445556 NPPES
Oregon MEDICAID 5000767629

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